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MARSHALL COUNTY ANESTHESIA PLLC
NPI 1619275401
Nurse Anesthetist, Certified Registered in Benton, KY

Active since March 03, 2011
615 OLD SYMSONIA RD, BENTON, KY 42025(270) 527-4800 Get Directions Write a Review

NPPES record last updated: April 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marshall County Anesthesia Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL COUNTY ANESTHESIA PLLC (NPI 1619275401) is a healthcare organization registered as a nurse anesthetist, certified registered in Benton, Kentucky and active in the NPI registry since March 2011. The organization lists Teresa Johnson, Billing Agency, as its authorized official.

NPPES Registry Identity

NPI1619275401
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMARSHALL COUNTY ANESTHESIA PLLC
Location Address615 OLD SYMSONIA RDBenton, KY 42025-5042
Mailing AddressPo Box 15Lynnville, KY 42063-0015 · (270) 382-3112 · Fax (270) 382-3112
Phone(270) 527-4800
Organization SubpartNo
Authorized OfficialTeresa JohnsonBilling Agency · (270) 382-3112
Enumeration DateMarch 3, 2011
Last NPPES UpdateApril 23, 2011
✔ NPI 1619275401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 034465
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
615 OLD SYMSONIA RD, Benton, KY 42025
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Other Identifiers 3

Medicaid7100154520KY
Medicare PINP100038720KY
Other000000703294Blue Cross And Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHALL COUNTY HOSP DISTRICT
Pharmacy (Institutional Pharmacy)
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4885
LOUIS FORTE MD
Emergency Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800
MARSHALL COUNTY MRI, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4850
ROBERT CLARK HARRIS MD
Internal Medicine
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800
MEREDITH A CRIDER APRN
Nurse Practitioner (Primary Care)
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800
TONI SHANTEL GORDON-BAILEY APRN
Nurse Practitioner
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800
MARSHALL COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800
GRETTA NICOLE THOMASSON APRN
Nurse Practitioner (Family)
615 OLD SYMSONIA RD
BENTON, KY 42025
Marshall County (270) 527-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall County Anesthesia PLLC's NPI number?

The NPI number for Marshall County Anesthesia PLLC is 1619275401. It was assigned to this organization in the NPPES registry on March 3, 2011.

Where is Marshall County Anesthesia PLLC located?

Marshall County Anesthesia PLLC is located at 615 Old Symsonia Rd, Benton, KY 42025. The listed phone number is (270) 527-4800.

What is Marshall County Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Marshall County Anesthesia PLLC was last updated on April 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.